Questions for Delphi survey round 1.

The burden of non-communicable diseases (NCDs) in Indonesia is increasing, as evidenced by the latest Indonesian National Health Research, which shows an increase in diabetes prevalence, from 6.9% in 2013 to 10.9% in 2018, and hypertension, from 25.8% in 2013 to 34.1% in 2018. Hence, effective actions in community and primary health care (PHC) facility settings are necessary to tackle the burden of diabetes and hypertension, especially in low- and middle-income countries. The Indonesian government has issued numerous guidelines regarding NCDs. However, not all these guidelines can be applied to communities or PHCs. This study aimed to identify priority guidelines to support the community and PHC for NCD management using the Delphi survey method. These prioritized guidelines will serve as valuable resources for developing relevant, operational and comprehensive modules for community cadres and PHC staff involved in NCD management. The Delphi survey involved 25 experts and comprised three rounds using a questionnaire: 1) identification and assessment of guidelines, 2) assessment of the importance of guidelines, and 3) nomination of the three main priority guidelines. The results revealed three priority guidelines: NCD management guidelines, technical guidelines for Pos Pembinaan Terpadu (POSBINDU) NCDs, and integrated services for NCDs in PHC facilities. Additionally, priority guidelines were used to develop operational modules for community cadres and PHC staff in NCDs management. In conclusion, utilizing the Delphi method serves as a scientific approach to identify priority guidelines crucial for supporting the community and PHC in managing NCDs, particularly in countries with contexts similar to Indonesia.

印尼的非传染性疾病（non-communicable diseases, NCDs）负担正逐年加重，最新印尼全国健康调查数据显示，糖尿病患病率已从2013年的6.9%升至2018年的10.9%，高血压患病率则从2013年的25.8%升至2018年的34.1%。
因此，亟需在社区与基层医疗保健（primary health care, PHC）机构场景中采取有效举措，以应对糖尿病与高血压带来的疾病负担，这一需求在中低收入国家尤为凸显。
印尼政府已发布多项针对非传染性疾病的相关指南，但并非所有指南均可适配社区或基层医疗保健场景的实际应用。
本研究采用德尔菲调查法，旨在筛选出可支持社区与基层医疗保健机构开展非传染性疾病管理的优先指南。这些经筛选的优先指南，可为面向参与非传染性疾病管理的社区工作者与基层医疗保健人员开发适配性强、可落地且内容全面的实操模块提供宝贵参考依据。
本次德尔菲调查共邀请25名专家参与，通过三轮问卷调研完成：第一轮为指南的识别与评估，第二轮为指南重要性评分，第三轮为提名三项核心优先指南。
调研结果最终确定三项优先指南：非传染性疾病管理指南、综合服务站（Pos Pembinaan Terpadu, POSBINDU）非传染性疾病管理技术指南，以及基层医疗保健机构非传染性疾病综合服务指南。此外，研究团队基于本次筛选出的优先指南，开发了面向社区工作者与基层医疗保健人员的非传染性疾病管理实操模块。
综上，德尔菲法是一种科学可靠的研究方法，可用于筛选适配社区与基层医疗保健机构非传染性疾病管理的关键优先指南，这一方法尤其适用于国情与印尼相似的国家。